Triplane and Tillaux fractures: is a 2 mm residual gap acceptable?

Journal of Pediatric Orthopedics
Alvin H Crawford

Abstract

Children's ankle fractures are the second most common growth plate fractures in humans and one of the top 10 reasons for pediatric orthopaedic hospital admissions. Because triplane and Tillaux fractures occur during the period of distal tibial physeal closure, they are considered transitional injuries. The distal tibial physis closes in a unique, asymmetric pattern (middle, then medial, and finally lateral), and it is the portion of the physis that is open at the time of injury that is vulnerable to fracture in this age group. Triplane and Tillaux fractures occur after supination external rotation and compression stress with unpredictable multiplanar fracture patterns. The fracture may appear different on different x-ray projections, making computed tomography mandatory to determine the number of fragments. Because most of these fractures are intra-articular, anatomic or near-anatomic reduction of the joint surface is recommended to minimize future posttraumatic ankle arthritis. Because these fractures occur at the end of growth, they rarely result in growth arrest.

References

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Citations

Jul 23, 2013·Der Orthopäde·F J Schneider, W E Linhart
Aug 1, 2015·International Journal of Emergency Medicine·Philip Kin-Wai WongFaisal Khosa
Aug 22, 2014·Foot & Ankle Specialist·David A WoodJohn M Schuberth
Nov 4, 2017·Journal of Pediatric Orthopedics. Part B·Seung Min RyuChul Hyun Park
Jun 30, 2018·Journal of Pediatric Orthopedics. Part B·William ZelentyDavid H Godfried
Feb 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D SchneidmuellerH Laurer
Jun 1, 2016·Der Unfallchirurg·D SchneidmuellerV Bühren
Nov 5, 2016·Sports Medicine and Arthroscopy Review·John B EricksonKevin E Klingele
Aug 19, 2016·Wiener klinische Wochenschrift·Thomas M TiefenboeckMark Schurz
Sep 16, 2020·Pediatric Annals·Matthew ThompsonGeorge Koberlein
Dec 6, 2016·SpringerPlus·Özgür Çiçekliİzzet Bingöl
Dec 11, 2020·Journal of the American Podiatric Medical Association·Mehmet Ali TalmaçHaci Mustafa Özdemir
Jun 19, 2015·The Journal of Bone and Joint Surgery. American Volume·Emily A EismannAndrew Zbojniewicz
Feb 14, 2021·Der Unfallchirurg·Stefan RammeltLivia Kroker
Feb 9, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Christopher D Souder, Clayton T Vaughan
Feb 12, 2021·Indian Journal of Orthopaedics·K VenkatadassS Rajasekaran
Jan 11, 2021·Seminars in Roentgenology·Alexander D GrushkySuzanne Chong
Mar 23, 2021·Operative Orthopädie und Traumatologie·Stefan RammeltLivia Kroker

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